APPLICATION FOR PROPERTY MANAGER LICENSE 2020

Property Manager License Type:*

Property Manager (New)Renewal

Property Manager Type*

IndividualPartnershipDomestic CorporationForeign Corporation

Owner/ Agent Name*

Name of business or LLC:*

Owner/ Agent Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number*

Area CodePhone Number

Cell Phone Number

Area CodePhone Number

Fax:

EMAIL:*

example@example.com

Managed Properties under the Agent or Owner (Please list):

Agent Name

First NameLast Name

Agent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Area CodePhone Number

Mobile Phone Number

Area CodePhone Number

EMAIL:

example@example.com

Fax:

Owner/ Agent Name

First NameLast Name

Agent Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Agent Phone Number

Area CodePhone Number

Agent Mobile Phone Number

Area CodePhone Number

EMAIL:

example@example.com

Fax:

Owner/ Agent Name

Owner/ Agent Address:

Phone Number

Area CodePhone Number

Mobile Phone Number

Area CodePhone Number

EMAIL:

example@example.com

Fax:

Owner/ Agent Name

Owner/ Agent Address:

Phone:

Mobile Phone:

EMAIL:

example@example.com

Fax:

Does the applicant collect rents or negotiate the rental of the listed properties?

YesNo

If so, a copy of their New York State real estate broker's license is required. If an applicant is licensed as "Associate Real Estate Broker" or "Real Estate Salesperson," please provide the license number and a copy of the real estate broker's license they work under with this application. If you are applying online, please attach a copy of the real estate broker’s license in the attachments along with the completed application.

Real Estate Broker’s License #: